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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study
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Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study

机译：Transforaminal透镜椎间盘神经激光激光烧蚀慢性低背疼痛与修饰变化相关：初步开放标签研究

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Background. Chronic low back pain (CLBP) arising from degenerative disc disease continues to be a challenging clinical and diagnostic problem whether treated with nonsurgical, pain intervention, or motion-preserving stabilization and arthrodesis. Methods. Fourteen patients with CLBP, greater than 6 months, unresponsive to at least 4 months of conservative care were enrolled. All patients were treated successfully following screening using MRI findings of Modic type I or II changes and positive confirmatory provocative discography to determine the affected levels. All patients underwent ablation of the basivertebral nerve (BVN) using 1414?nm Nd:YAG laser-assisted energy guided in a transforaminal epiduroscopic approach. Macnab’s criteria and visual analog scale (VAS) score were collected retrospectively at each follow-up interval. Results. The mean age was 46?±?9.95 years. The mean symptoms duration was 21.21?±?21.87 months. The mean follow-up was 15.3?±?2.67 months. The preoperative VAS score of 7.79?±?0.97 changed to 1.92?±?1.38, postoperatively (P<0.01). As per Macnab’s criteria, seven patients (50%) had excellent, six patients (42.85%) had good, and one patient (7.14%) had fair outcomes. Conclusion. The transforaminal epiduroscopic basivertebral nerve laser ablation (TEBLA) appears to be a promising option in carefully selected patients with CLBP associated with the Modic changes.
机译：背景。从退行性椎间盘疾病中产生的慢性低腰疼（CLBP）仍然是一种挑战性的临床和诊断问题，无论是用无意义的，疼痛干预或运动保存的稳定和关节症治疗。方法。 14例CLBP患者，超过6个月，对至少4个月的保守护理没有反应。在使用Modic I型或II变化的MRI结果和阳性验证挑剔的椎间盘癌筛选后，所有患者均成功治疗，并确定患病水平。所有患者使用1414〜NM ND：yag激光辅助能量以跨轮锤映射透镜方法引导，所有患者都接受了椎体神经（BVN）。在每个后续间隔回顾性地收集Macnab的标准和视觉模拟量表（VAS）得分。结果。平均年龄为46？±9.95年。平均症状持续时间为21.21？±21.87个月。平均随访15.3？±2.67个月。术前VAS得分为7.79？±0.97变为1.92？±1.38，术后（P <0.01）。根据麦克纳布的标准，7名患者（50％）具有优异的，六名患者（42.85％）有良好，一名患者（7.14％）有公平的结果。结论。逆压轮透镜椎间盘突变神经激光烧蚀（Tebla）似乎是仔细选择与态度变化相关的CLBP患者的有希望的选择。

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